| Organization Name: | MYHEALTH MEDICAL ASSOCIATION |
| NPI Number: | 1568849313 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORETTA FITZPATRICK (OWNER) |
| Mailing Address: | 3900 Se 38th Ave Starke |
| State: | FL US |
| Postal Code: | 32091 |
| Phone Number: | 8888876994 |
| Fax Number: | 7703191019 |
| NPI Enumeration Date: | 04/30/2015 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |